| NPI | 1336648203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012516) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P011907) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2022-09-06 |